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NPI Code Detail

MEDICARE: MRS. LINZI NICOLE SOULES DPT

MEDICARE: MRS. LINZI NICOLE SOULES DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist2919AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467691360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINZI NICOLE SOULES DPT
Provider Business Mailing Address
First Line : 6900 N HILLS BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-5423
Country : US
Telephone Number : 501-835-9607
Fax Number : 501-833-0957
Provider Business Practice Location Address
First Line : 6900 N HILLS BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-5423
Country : US
Telephone Number : 501-835-9607
Fax Number : 501-833-0957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2009
Last Update Date : 02/17/2009

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